- Corewell Health (Grand Rapids, MI)
- Job Summary A Provider Operations Associate is responsible for identifying and solving issues relating to the performance of the provider operations ... provider network community and internal departments. The operations analyst is responsible for the oversight...healthcare, insurance, managed care and/or comparable industry Preferred + Associate 's degree or equivalent + 1 year of relevant… more
- Molina Healthcare (Grand Rapids, MI)
- **Job Description** **Job Summary** Provides entry level analyst support for claims research activities. This role plays a pivotal role in ensuring the timely and ... accurate resolution of provider -submitted claims issues. This role requires a keen understanding...claims processing workflows, billing practices, and regulatory guidelines to provide accurate assessments. + Meets quality and production goals.… more
- Molina Healthcare (Grand Rapids, MI)
- …problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets ... with multiple types of business data. May be internal operations -focused or external client-focused. **KNOWLEDGE/SKILLS/ABILITIES** + Provides analytical, problem… more
- Molina Healthcare (Grand Rapids, MI)
- …enrollment records, employer's monthly reports, sending membership cards and materials. Provide customer service to plan members, providers, and employer groups by ... + Facilitating and coordination of meeting materials with Health Plan Compliance and Operations VPs for multiple states. + Subject Matter Expert in E2E enrollment… more